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Director of Provider Data Management

Company: VirtualVocations
Location: Vista
Posted on: May 12, 2025

Job Description:

A company is looking for a Director of Provider Data Management and Credentialing.
Key Responsibilities

Lead and mentor a team in provider data management and credentialing
Develop strategies to optimize provider data accuracy and operational processes
Ensure compliance with industry regulations and manage credentialing activities

Required Qualifications

At least 15 years of experience in health plan operations, focusing on provider data management and credentialing
Proven experience managing teams and large-scale operations
Strong background in AI-driven process optimization and automation in healthcare
Knowledge of industry regulations such as NCQA and URAC
Experience with provider data management systems and credentialing platforms

Keywords: VirtualVocations, Glendora , Director of Provider Data Management, Executive , Vista, California

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